Washburn County Abstract and Title Insurance Company - Spooner, Wisconsin Real Estate Services

Washburn County Abstract Order Form

Estimated Closing Date:

Will Seller be Present?

Will Buyer be Present?

Sale Price:

Earnest Money:

Earnest Money: To be Transferred to WCA \\ Seller Has Received Already

Closing Fee to be Paid By: Seller \\ Buyer \\ Split Cost

TITLE INSURANCE POLICY

Is there a previous policy?
Yes (please provide copy to title order \\ No previous title insurance

~OR~

Is there an Abstract? Yes \\ No

Comments

Tax Parcel Number(s)

Fire Number and/or Street Address of Property (If no street address, give name of abutting road if vacant property):

Brief legal_description:

Land is: Vacant \\ Has Buildings \\ Commercial (Check for "Yes")

Lot Size: x ~OR~ total_acres:

SELLERS

SELLER 1
Last Name First Name M.I.

Social Security Number:

Current Address:
Home Phone:
Email Address:

SELLER 2 (If Applicable)
Last Name First Name M.I.

Social Security Number:

Email:

Existing Mortgage With:

Will an Attorney be Representing You? Yes \\ No

BUYERS

BUYER 1
Last Name First Name M.I.

Social Security Number:

Current Address:
Home Phone:
Email Address:

BUYER 2 (If Applicable)
Last Name First Name M.I.

Social Security Number:

Current Address:

Current Phone Number: Home \\ Work

Fax Number:

Email:

Will this be the buyer's primary residence?
Yes \\ No \\ 2nd_home \\ rental

Will an Attorney be Representing You? Yes \\ No

Is Attorney Drafting Any Documents? Yes \\ No

Are Fees to be Paid Directly by Buyer? Yes \\ No

Paid at Closing? Yes \\ No

Attorney's Name: Phone

Deed Land Contract
[Please submit land_contract terms]

Ordered by Closing Agent? Yes \\ No

Preference of Deed/LC Preparation? Yes \\ Attorney \\ No

Special Instructions:

Is closing agent ordering deed to satisfy an existing land
contract on property? Yes \\ No

Vendor's Address: Phone:

How are the buyer(s) taking title to property?

Last Name First Name M.I.

Tenants in common	Husband and Wife as Survivorship Marital Property (WI Residents)
Joint Tenants	Husband and Wife as joint Tenants (Non-Wisconsin Residents Only
A single Person	Other (specify)
Trust

Are buyer and seller related? Yes \\ No

Buyer Financing
Cash \\ Bank Financing \\ Land Contract

Bank:
Address:

Loan Office:

S/B Officer or Contact Person:

Phone Number: \\ Bank Fax:

Please fill in any charges that are to appear on closing statement and click checkbox if this is a contingency	Ordered By	Pay To	Add to Closing Statement as Buyer or Seller Expense	Amount
Water Test
Well Inspection
Septic Inspection
Building Inspection
Appraisal
Survey
Soil Test
Affidavit
Escrow Agreement
Compliance Agreement
Compliance Certificate
other Charges

Taxes to be prorated? Yes \\ No

Fuel Pro-ration: Fuel prorations should be taken care of directly between Buyer and Seller.

Electric and Phone: Seller and Buyer will need to contact for changeover.

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